Ask a doctor

Thiospot for Melasma or TCA Peel?

hi ive suffered with this for at least 5 years or more and 1 spot in particular on the side of my face seems to get worse.i do have a tanned coloured birthmark on my cheek which obv has always been there i often wonder if this is part of the trigger but was on numerous birth control pills which was

Doctor Answers (1)

Effective long-term treatment of melasma requires an effective short term treatment and a long-term maintenance program of skin

+1

In my hands, the best treatment for melasma involves an aggressive short term treatment to get rid of the pigment and then a long-term skin maintenance program to keep the pigment away.  Short-term I recommend two or more treatments with the Fraxel Restore 1550nm or Palomar 1540nm laser spaced about two weeks apart.  In between Fraxel Restore Laser treatments, I recommend using the Cosmion Iontophoretic Rejuvenating Mask three times a week for one hour each treatment.  This mask infuses 20% ascorbyl glucoside (Vitamin C) into the skin using a proven medical process called iontophoresis.  A 0.5mm needle wheel is used before each at-home mask treatment to enhance infusion of the Vitamin C.   For daily maintenance skin care, I recommend M2 mandelic/malic acid products (SkinCareRx.com) in 12% for sensitive skin and 20% for less sensitive skin.  These products contain long-chain alphahydroxy acids that inhibit the production of pigment in the skin.  In addition I recommend a shoulder-to-shoulder hat and an effective UVA/UVB sun block such as Laroche Possay Anthelios 60 to completely protect the face from sun exposure.  I have treated over 100 patients over the past three years with this protocol.

Web reference: http://gatewaylasercenter.com/Melasma.html

Salt Lake City Dermatologic Surgeon
4.5 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.